ABSTRACT
Two cases of stone formation on double J ureteral catheter are described. Resolution was achieved by ESWL in one and by simple endoscopic removal in the other case with calcification in the distal J. The appearance of calcareous encrustation is frequent and depends on various factors especially the length of time the catheter is left indwelling, urinary stasis and infection. The efficacy of extracorporeal lithotripsy in resolving this complication is discussed.
Subject(s)
Calcinosis/etiology , Catheters, Indwelling/adverse effects , Ureteral Calculi/etiology , Ureteral Diseases/etiology , Urinary Catheterization/adverse effects , Calcinosis/therapy , Endoscopy , Female , Humans , Kidney Calculi/complications , Kidney Calculi/therapy , Lithotripsy , Middle Aged , Multiple Sclerosis/complications , Pyelonephritis/complications , Ureteral Calculi/therapy , Ureteral Diseases/therapy , Urinary Bladder, Neurogenic/complications , Urinary Bladder, Neurogenic/therapy , Urinary Catheterization/instrumentationABSTRACT
The combination of percutaneous nephrolitotomy and renal extracorporeal litothricy, is currently considered to be the best choice for the treatment of complex renal lithiasis. This procedure, however, quite frequently needs the use of adjuvant maneouvers (urethroscopy, catheterization, large number of sessions, etc.), and there is a considerable proportion of residual lithiasis. We present here our series using a new therapeutic sequence: first, we perform extracorporeal litothricy (ESWL) of calices not accessible to the nephroscope, followed by percutaneous nephrolitotomy which has revealed to be a simplification of the percutaneous surgical technique since it decreases the movements of the nephroscope and the use of ultrasounds. Calyceal lithiasis previously fragmented are then extracted through the nephrostomic channel and so no lithiatic paths are induced, the percentage of residual lithiasis being also lower.
Subject(s)
Kidney Calculi/therapy , Kidney/surgery , Lithotripsy , Adult , Aged , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Kidney Calculi/diagnostic imaging , Male , Middle Aged , RadiographyABSTRACT
Congenital curvature of the penis without hypospadias is not an uncommon condition whose treatment is by surgery. We report on 10 cases with congenital penile curvature submitted to the Nesbit procedure using our modified approach, which has achieved good results.
